This email address is being protected from spambots. You need JavaScript enabled to view it.

Abstract

The aim of this paper is to adapt the proprioceptive neuromuscular facilitation techniques to the very complex problem of motor and sense deficit encountered in brachial plexus paralysis cases. Beside the functional degradation and the inability to use the affected limb during social activities, the motor and sense deficit in the limb leads to a total dysfunction of the patient's body. The patient adopts a deficient posture that attracts other medical problems. In contrast, the suppression of both voluntary, and reflex and synkinetic movements leads to severe, even irreversible deficiencies. The study was conducted on a 47-year-old female patient, with the clinical diagnosis of dissociated left brachial plexus paralysis. This study used the following research methods: the theoretical documentation method, the observation, the inquiry, the experiment, methods of measuring, recording, analyzing and graphically representing the data. The assessment methods were complex, consisting in: a clinical and functional neurological examination of the patient, an examination of the motor skills and reflexes, an assessment of the patient's range of motion, an examination of the muscle strength and a global motor assessment of the injured limb. The physical therapy program consisted in the application of the analytically directed facilitation techniques, and globally directed, on the Kabat diagonals. The recorded results confirmed the hypotheses, the selection of the most effective proprioceptive neuromuscular facilitation techniques has led to the optimization of the results regarding the improvement of global dysfunction in a patient with brachial plexus paralysis.

Simona Pop - Medalia de aur la Jocurile Olimpice de la Rio de Janeiro din 2016 cu echipa Naţională de Spadă a României / Gold Medal at the Olympic Games from Rio de Janeiro in 2016 with the Romanian National Épée Team